Individual
BENJAMIN CHARLES ENYART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-R
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(458) 292-8770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
03/05/2026
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